SSM Health St. Clare Hospital - Baraboo
707 14Th St, Baraboo, WI · SSM Health · · NPI 1720472848
Published prices by procedure
Cash price is what you pay without insurance. The negotiated range spans the lowest to highest rate this hospital agreed with insurers.
| Procedure | Cash price | Gross charge | Negotiated range | Payers |
|---|---|---|---|---|
| Monitor cable elec vad, rep HCPCS Q0485 | not published | not published | $324.68 – $432.90 | 2 |
| Monitor elec vad, rep HCPCS Q0483 | not published | not published | $17,315.49 – $23,087.32 | 2 |
| Monovisc inj per dose HCPCS J7327 | not published | not published | $423.96 – $1,044.60 | 5 |
| Monthly tx for dmht 20mins HCPCS G0553 | not published | not published | $96.99 – $129.32 | 2 |
| Mopath procedure level 1 CPT 81400 | $498.30 | $906.00 | $47.97 – $448.75 | 5 |
| Mopath procedure level 3 CPT 81402 | $955.90 | $1,738.00 | $112.75 – $1,054.75 | 5 |
| Mopath procedure level 5 CPT 81404 | $1,200.65 | $2,183.00 | $206.12 – $1,928.26 | 5 |
| Mopath procedure level 6 CPT 81405 | $1,692.35 | $3,077.00 | $226.01 – $2,114.34 | 5 |
| Mopath procedure level 7 CPT 81406 | $121.52 | $220.95 | $212.16 – $1,984.76 | 5 |
| Mopath procedure level 8 CPT 81407 | $121.52 | $220.95 | $634.70 – $5,937.61 | 5 |
| Mopath procedure level 9 CPT 81408 | $121.52 | $220.95 | $1,500.00 – $14,032.42 | 5 |
| Morphine 4 mg/ml injection (wrapper) HCPCS J2270 | not published | not published | $6.71 – $8.64 | 3 |
| Morphine 4 mg/ml injection (wrapper)|discarded drug not administered HCPCS J2272 | not published | not published | $7.51 – $15.45 | 3 |
| Morphine (pf) 0.25 mg/0.5 ml injection (neo/ped) - cnr HCPCS J2274 | not published | not published | $14.24 – $21.37 | 3 |
| Morphometric analysis in situ hybridization computer-assisted per specimen each multiplex stain CPT 88374 | not published | not published | $124.11 – $2,088.68 | 3 |
| Morphometric analysis tumor ihc qn/sq per specimen each single antibody stain computer-assisted CPT 88361 | $435.05 | $791.00 | $261.13 – $615.66 | 3 |
| Morphometric analysis tumor ihc qn/sq per specimen each single antibody stain manual CPT 88360 | $1,145.65 | $2,083.00 | $124.11 – $453.38 | 3 |
| Mosunetuzumab-axgb 1 mg/ml intravenous solution HCPCS J9350 | not published | not published | $505.87 – $1,240.22 | 5 |
| Motion test w/ft press meas CPT 96001 | not published | not published | $625.59 – $834.12 | 2 |
| Motor &/ sens nrve cndj test CPT 95905 | not published | not published | $325.44 – $433.92 | 2 |
| Mouth vestibule bx/w complex rpr 40814 CPT 40814 | not published | not published | $2,415.31 – $6,687.00 | 4 |
| M/phmtrc alys ishquant/semiq CPT 88373 | not published | not published | $374.50 – $374.50 | 1 |
| M/phmtrc alys ishquant/semiq CPT 88377 | $4,258.10 | $7,742.00 | $124.11 – $2,407.26 | 3 |
| M/phmtrc alysishquant/semiq CPT 88369 | $804.10 | $1,462.00 | $533.27 – $533.27 | 1 |
| M/phmtrc alys skeletal musc CPT 88355 | not published | not published | $124.11 – $515.80 | 3 |
| Mpl gene analysis common variants CPT 81338 | $954.80 | $1,736.00 | $112.75 – $1,096.93 | 5 |
| M.pneumon dna dir probe CPT 87580 | not published | not published | $15.04 – $199.35 | 5 |
| M.pneumon dna quant CPT 87582 | not published | not published | $226.96 – $529.59 | 5 |
| MRA abdomen post contrast CPT 74185 | not published | not published | $3,376.88 – $3,376.88 | 1 |
| MRA aorta thoracic w/wo contrast CPT 71555 | not published | not published | $3,315.15 – $3,315.15 | 1 |
| MRA chest w IV cont HCPCS C8909 | not published | not published | $254.15 – $338.87 | 2 |
| MRA chest wo IV cont HCPCS C8910 | $2,356.20 | $4,284.00 | $173.82 – $231.76 | 2 |
| MRA chest wwo IV cont HCPCS C8911 | $2,448.60 | $4,452.00 | $254.15 – $338.87 | 2 |
| MRA ext low(run-off)pst cntrst CPT 73725 | $2,448.60 | $4,452.00 | $3,353.76 – $3,353.76 | 1 |
| MRA pelvis CPT 72198 | $2,448.60 | $4,452.00 | $3,349.88 – $3,349.88 | 1 |
| MRA pelvis w IV cont HCPCS C8918 | not published | not published | $254.15 – $338.87 | 2 |
| MRA pelvis wo IV cont HCPCS C8919 | $2,356.20 | $4,284.00 | $173.82 – $231.76 | 2 |
| MRA spinal canal CPT 72159 | not published | not published | $3,515.80 – $3,515.80 | 1 |
| MRA upper extremity post contrast-bil CPT 73225 | not published | not published | $3,442.47 – $3,442.47 | 1 |
| MRA w/cont, abd HCPCS C8900 | not published | not published | $254.15 – $338.87 | 2 |
| MRA w/cont, lwr ext HCPCS C8912 | not published | not published | $254.15 – $338.87 | 2 |
| Mra, w/dye, spinal canal HCPCS C8931 | not published | not published | $254.15 – $338.87 | 2 |
| Mra, w/dye, upper extremity HCPCS C8934 | not published | not published | $254.15 – $338.87 | 2 |
| MRA without cont, abd HCPCS C8901 | $2,388.10 | $4,342.00 | $173.82 – $231.76 | 2 |
| MRA without cont, lwr ext HCPCS C8913 | $2,356.20 | $4,284.00 | $173.82 – $231.76 | 2 |
| Mra, without dye, spinal canal HCPCS C8932 | not published | not published | $173.82 – $231.76 | 2 |
| Mra, without dye, upper extr HCPCS C8935 | $2,356.20 | $4,284.00 | $173.82 – $231.76 | 2 |
| MRA without fol w/cont, abd HCPCS C8902 | $2,448.60 | $4,452.00 | $254.15 – $338.87 | 2 |
| MRA without fol w/cont, lwr ext HCPCS C8914 | $2,612.50 | $4,750.00 | $254.15 – $338.87 | 2 |
| MRA without fol w/cont, pelvis HCPCS C8920 | $2,448.60 | $4,452.00 | $254.15 – $338.87 | 2 |
| Mra, w/o&w/dye, spinal canal HCPCS C8933 | not published | not published | $254.15 – $338.87 | 2 |
| Mra, w/o&w/dye, upper extr HCPCS C8936 | $2,448.60 | $4,452.00 | $254.15 – $338.87 | 2 |
| Mr elastography CPT 76391 | not published | not published | $173.82 – $1,961.79 | 3 |
| Mrgfus strtctc ablt trgt icr CPT 61715 | not published | not published | $8,117.45 – $18,408.00 | 3 |
| MRI brain w/dye CPT 70558 | not published | not published | $127.78 – $14,721.25 | 3 |
| MRI brain without dye CPT 70557 | not published | not published | $398.06 – $13,886.00 | 3 |
| MRI brain without & w/dye CPT 70559 | not published | not published | $127.78 – $13,886.00 | 3 |
| MRI breast c- unilateral CPT 77046 | $783.75 | $1,425.00 | $173.82 – $1,915.35 | 3 |
| MRI breast c-+ w/cad uni CPT 77048 | not published | not published | $3,154.10 – $3,154.10 | 1 |
| MRI breast without cont bi CPT 77047 | $1,567.50 | $2,850.00 | $173.82 – $1,903.77 | 3 |
| MRI breast w IV cont bi CPT 77049 | not published | not published | $3,138.63 – $3,138.63 | 1 |
| MRI cardiac morph & func wo IV cont CPT 75557 | not published | not published | $173.82 – $2,174.61 | 3 |
| MRI cardiac morph & func wwo IV cont CPT 75561 | not published | not published | $254.15 – $3,172.41 | 3 |
| MRI cardiac morph & func wwo IV cont w/stress img CPT 75563 | not published | not published | $571.09 – $3,824.46 | 3 |
| MRI chest without contrast CPT 71550 | $2,318.25 | $4,215.00 | $173.82 – $3,677.86 | 3 |
| MRI chest without & w/contrast CPT 71552 | $2,448.60 | $4,452.00 | $254.15 – $5,022.90 | 3 |
| MRI chest w IV cont CPT 71551 | $2,384.25 | $4,335.00 | $571.09 – $4,009.66 | 3 |
| MRI compatible system HCPCS L0859 | not published | not published | $1,049.92 – $1,399.89 | 2 |
| MRI fetal ea addl gestation CPT 74713 | $1,126.40 | $2,048.00 | $1,526.38 – $1,526.38 | 1 |
| MRI fetal sngl/1st gestation CPT 74712 | $2,251.70 | $4,094.00 | $173.82 – $3,562.10 | 3 |
| MRI guid ndl plc s&i CPT 77021 | not published | not published | $3,544.37 – $3,544.37 | 1 |
| MRI guid parenchymal tiss ablation CPT 77022 | not published | not published | $5,080.49 – $5,080.49 | 1 |
| MRI loex nonjt w IV cont CPT 73719 | $2,384.25 | $4,335.00 | $254.15 – $3,481.07 | 3 |
| MRI lower extremity other than joint without contrast (both sides) CPT 73718 | $2,318.25 | $4,215.00 | $173.82 – $3,203.27 | 3 |
| MRI lower extremity other than joint without & w/contrast (both sides) CPT 73720 | $2,448.60 | $4,452.00 | $254.15 – $4,256.63 | 3 |
| MRI orbit/face/neck without contrast CPT 70540 | $2,288.00 | $4,160.00 | $173.82 – $3,141.53 | 3 |
| MRI orbit/face/neck without & w/contrast CPT 70543 | $2,488.20 | $4,524.00 | $254.15 – $4,144.74 | 3 |
| MRI orbit fac&nck w IV cont CPT 70542 | not published | not published | $254.15 – $3,457.92 | 3 |
| MRI tmj CPT 70336 | $2,318.25 | $4,215.00 | $173.82 – $2,659.22 | 3 |
| MRI upper extremity other than joint without contrast (both sides) CPT 73218 | $2,318.25 | $4,215.00 | $173.82 – $3,203.27 | 3 |
| MRI upper extremity other than joint without & w/contrast (both sides) CPT 73220 | $2,448.60 | $4,452.00 | $254.15 – $4,225.75 | 3 |
| MRI upper extremity w/dye CPT 73219 | $2,376.55 | $4,321.00 | $254.15 – $3,481.07 | 3 |
| MRI w/cont, breast, bi HCPCS C8906 | not published | not published | $254.15 – $338.87 | 2 |
| MRI w/cont, breast, uni HCPCS C8903 | not published | not published | $127.78 – $170.37 | 2 |
| MRI without fol w/cont, breast HCPCS C8908 | $2,571.80 | $4,676.00 | $254.15 – $338.87 | 2 |
| MRI without fol w/cont, brst, un HCPCS C8905 | $890.45 | $1,619.00 | $254.15 – $338.87 | 2 |
| Mr safety determination physician/other qhp CPT 76016 | not published | not published | $63.40 – $639.50 | 3 |
| Mr safety implant elec prepj CPT 76018 | not published | not published | $69.26 – $1,007.67 | 3 |
| Mr safety implant&/fb assmt clin staff ea add 30 CPT 76015 | not published | not published | $453.86 – $453.86 | 1 |
| Mr safety implt pos&/immoblj CPT 76019 | not published | not published | $42.98 – $1,307.91 | 3 |
| Mr sfty implt&/fb asmt stf 1 CPT 76014 | not published | not published | $21.07 – $94.27 | 3 |
| Mr sfty med physics xm cstmz CPT 76017 | not published | not published | $173.82 – $1,967.87 | 3 |
| Mr spectroscopy CPT 76390 | not published | not published | $63.40 – $4,061.40 | 3 |
| Msh2 gene dup/delete variant CPT 81297 | $891.55 | $1,621.00 | $159.98 – $1,105.32 | 5 |
| Msh2 gene full seq CPT 81295 | $1,023.00 | $1,860.00 | $286.28 – $1,105.32 | 5 |
| Msh2 gene known variants CPT 81296 | not published | not published | $253.30 – $943.77 | 5 |
| Msh6 gene dup/delete variant CPT 81300 | $1,023.00 | $1,860.00 | $178.50 – $1,178.01 | 5 |
| Msh6 gene full seq CPT 81298 | $1,023.00 | $1,860.00 | $481.39 – $2,097.12 | 5 |
| Msh6 gene known variants CPT 81299 | not published | not published | $231.00 – $1,174.79 | 5 |
| Mt bone graft microvasc CPT 20957 | not published | not published | $5,286.15 – $20,477.00 | 4 |
A missing value means the hospital did not publish that price — it never means the price is zero. Real bills can add facility fees, supplies and professional fees; see our methodology.